| NPI | 1649640202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI KATHRYN ROSS-DOUGLAS President 219-561-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01065198A) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |